Provider Demographics
NPI:1598726812
Name:HOOPER, THOMAS E (MD, FACP)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:HOOPER
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 NASH ST N STE B
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1394
Mailing Address - Country:US
Mailing Address - Phone:252-237-1225
Mailing Address - Fax:252-640-2752
Practice Address - Street 1:2500 NASH ST N STE B
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1394
Practice Address - Country:US
Practice Address - Phone:252-237-1225
Practice Address - Fax:252-640-2752
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC43711OtherBCBS
NC8943711Medicaid
NC207367AMedicare ID - Type Unspecified
NC8943711Medicaid